92978 Endoluminl ivus oct c 1st
What 92978 is
CMS fee schedule short descriptor: Endoluminl ivus oct c 1st.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 92978 (CY2026)
This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps 92978 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 92978? These codes are bundled into it
92978 is a Column 1 code in 28 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0913T | Prq tcat ther rx ntrac balo1 | 1 - modifier may bypass | Check pair |
35201 | Repair blood vessel dir neck | 1 - modifier may bypass | Check pair |
35206 | Repair blood vessel dir uxtr | 1 - modifier may bypass | Check pair |
35226 | Repair blood vessel dir lxtr | 1 - modifier may bypass | Check pair |
35261 | Rpr blvsl grf oth/thn vn nck | 1 - modifier may bypass | Check pair |
35266 | Rpr blvsl grf oth/th vn uxtr | 1 - modifier may bypass | Check pair |
35286 | Rpr blvsl grf oth/th vn lxtr | 1 - modifier may bypass | Check pair |
36500 | Insertion of catheter vein | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
75893 | Venous sampling by catheter | 1 - modifier may bypass | Check pair |
93000 | Electrocardiogram complete | 1 - modifier may bypass | Check pair |
93005 | Electrocardiogram tracing | 1 - modifier may bypass | Check pair |
93010 | Electrocardiogram report | 1 - modifier may bypass | Check pair |
93040 | Rhythm ecg with report | 1 - modifier may bypass | Check pair |
93041 | Rhythm ecg tracing | 1 - modifier may bypass | Check pair |
93042 | Rhythm ecg report | 1 - modifier may bypass | Check pair |
93050 | Art pressure waveform analys | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
99155 | Mod sed oth phys/qhp <5 yrs | 0 - no modifier bypass | Check pair |
99156 | Mod sed oth phys/qhp 5/>yrs | 0 - no modifier bypass | Check pair |
99157 | Mod sed other phys/qhp ea | 0 - no modifier bypass | Check pair |
99446 | Ntrprof ph1/ntrnet/ehr 5-10 | 0 - no modifier bypass | Check pair |
99447 | Ntrprof ph1/ntrnet/ehr 11-20 | 0 - no modifier bypass | Check pair |
99448 | Ntrprof ph1/ntrnet/ehr 21-30 | 0 - no modifier bypass | Check pair |
99449 | Ntrprof ph1/ntrnet/ehr 31/> | 0 - no modifier bypass | Check pair |
99451 | Ntrprof ph1/ntrnet/ehr 5/> | 0 - no modifier bypass | Check pair |
99452 | Ntrprof ph1/ntrnet/ehr rfrl | 0 - no modifier bypass | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.